The purpose of this call for proposals (CFP) is to improve our understanding of the Action Area 1 drivers* and outcomes related to health, well-being and equity, particularly with respect to disadvantaged children and families. A current lack of empirical evidence limits our ability to identify strategies with the potential to “drive” this Action Area forward. In addition, although these drivers are strongly correlated with individual health outcomes, we lack compelling evidence of the causal directions and the magnitudes of effects on health, well-being, and equity.
We seek evidence on the extent to which Action Area 1 drivers—mindsets and expectations, sense of community, and civic engagement—can be changed through intervention at the individual or population levels to result in better health, well-being and equity outcomes.
An ideal study to provide such evidence would experimentally manipulate a driver, measure changes in that driver, and then measure resulting health impacts. However, we recognize that a variety of constraints could preclude such a design within the parameters of this funding opportunity. Thus, we have established two key aims for funding under this CFP:
- Aim 1: To test the effects of specific interventions on the Action Area 1 drivers, in order to determine the extent to which they can be changed; and
- Aim 2: To establish evidence of causal relationships between Action Area 1 drivers and health outcomes.
While projects that can achieve both aims are preferred, we also anticipate funding research that addresses either of the aims independently. In addition, we hope to support research that can assess the potential of drivers to “move the needle” on health, well-being, and equity outcomes for children and families by examining Action Area 1 drivers within the context of underlying and structural determinants of health.
Researchers are not limited to the specific terminology used here to define the drivers. We will consider projects that apply broad interpretations of what drivers could embody, and that propose novel ways to conceptualize or frame drivers within the Action Framework. Moreover, achieving a Culture of Health involves multiple factors working interactively in complex systems. It is therefore appropriate to think about Action Area 1 drivers not in isolation, but rather as part of these dynamic systems, in which synergy may exist among multiple drivers.
*See the full CFP for the descriptions of Action 1 drivers